肝移植后肝肺综合征的患病率及可逆性。克利夫兰诊所的经验。
Prevalence and reversibility of the hepatopulmonary syndrome after liver transplantation. The Cleveland Clinic experience.
作者信息
Stoller J K, Lange P A, Westveer M K, Carey W D, Vogt D, Henderson J M
机构信息
Department of Pulmonary and Critical Care Medicine, Cleveland Clinic Foundation, Ohio 44195, USA.
出版信息
West J Med. 1995 Aug;163(2):133-8.
Abstract
To ascertain the prevalence and reversibility of the hepatopulmonary syndrome, we reviewed the cases of 98 patients undergoing liver transplantation at the Cleveland (Ohio) Clinic Foundation from June 1988 through July 1992 and identified 4 patients with clinically recognized hepatopulmonary syndrome (prevalence 4%). All 4 patients ultimately had complete reversal of their disorder. As reviewed herein, the prevalence of the hepatopulmonary syndrome in the current series is lower than in previous reports, possibly reflecting a dependence on its clinical recognition in this series rather than the use of routine screening tests. This report confirms previous experience that the hepatopulmonary syndrome may be reversible after transplantation.
摘要
为确定肝肺综合征的患病率及可逆性，我们回顾了1988年6月至1992年7月在俄亥俄州克利夫兰诊所基金会接受肝移植的98例患者的病例，确定了4例临床诊断为肝肺综合征的患者（患病率4%）。所有4例患者最终病情均完全逆转。如本文所述，本系列中肝肺综合征的患病率低于以往报告，这可能反映了本系列对其临床诊断的依赖，而非使用常规筛查试验。本报告证实了先前的经验，即肝肺综合征在移植后可能可逆。
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